Idaho
Division of Occupational and Professional Licenses
DEDRAH R. REYNOLDS
Board Of Medicine
License number
LRT-182
Date granted
12/28/1991
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1111 Osburn ID 83849
idaholicensing.com
ID 48346026
LAST UPDATED 2024-04-29 10:45:07 UTC
LAST UPDATED 2024-04-29 10:45:07 UTC
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